Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Jaclyn Marie Prendergast, OTR/L

Individual provider Occupational Therapist · NPI 1134891682

Miss. Jaclyn Marie Prendergast, OTR/L is an Occupational Therapist in Private Practice in Charleston, South Carolina. Qualified in 2021, 5 years ago. Licensed in South Carolina.

Years since qualifying
5
Licensed in
SC
In the registry since
2021
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

1640 Ashley Hall Rd
Charleston, SC 29407-3824
Phone: (843) 277-2411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 6306 (SC)

Record details

NPI number1134891682
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedOctober 4, 2021
Last updated in NPPESOctober 4, 2021
Certification dateOctober 1, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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